協助一位子宮頸癌患者接受根治性手術之護理經驗

Nursing Experience of a Cervical Cancer Patient Who Had Abdominal Radical Hysterectomy

本文描述一位38歲女性，因罹患子宮頸癌接受根治性子宮切除術的照護經驗。護理期間自2005年5月8日至5月20日，以Gordon十一項健康功能評估為指引，運用觀察、會談及傾聽技巧收集資料，發現個案在入院期間有四個主要護理問題，依序為焦慮、術後疼痛、潛在危險性感染、身體心像紊亂等。透過介入性的護理活動使個案減輕焦慮、疼痛及潛在危險性感染；與病患建立良好的護病關係，使其獲得整體性的照護，增進自我照護能力及提升正向的身體心像。

This case study described a nursing experience of a 38 years old female cervical cancer patient, who had abdominal radical hysterectomy. The nursing care period was from May 8th to 20th in 2005. The Gordon’s functional health assessment was applied in the nursing evaluation. Data were collected by observations, interventions, and listening. Four major health problems were identified, including anxiety, pain after the operation, risk for infection after the operation, and body image disturbance chronologically. Through adequate nursing interventions with well nurse-patient relationship, the patient acquired a well-planned comprehensive nursing care to reduce the anxiety before surgery, to improve from pain, increase self-care to prevent infections and demonstrate a positive body image herself.